TX Clinical significance of antepartum monitoring with umbil ical artery blood velocity examination and non - stress tests in high - risk pregnancy

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TX Clinical significance of antepartum monitoring with umbil ical artery blood velocity examination and non - stress tests in high - risk pregnancy

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- TX Clinical significance of antepartum monitoring with umbil ical artery blood velocity examination and non - stress tests in high - risk pregnancy
- Journal of Chongqing Medical University Issue 4, (1997)
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  CLC： R714.5
- Published：1997，
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[1]刘维超,顾美礼,蔡汉中,邓丽波.脐动脉血流速度和无负荷试验产前监护高危妊娠的临床意义[J].重庆医科大学学报,1997(04):340-343.

TX Clinical significance of antepartum monitoring with umbil ical artery blood velocity examination and non - stress tests in high - risk pregnancy. [J]. Journal of Chongqing Medical University (4).(1997)
[1]刘维超,顾美礼,蔡汉中,邓丽波.脐动脉血流速度和无负荷试验产前监护高危妊娠的临床意义[J].重庆医科大学学报,1997(04):340-343. DOI：

TX Clinical significance of antepartum monitoring with umbil ical artery blood velocity examination and non - stress tests in high - risk pregnancy. [J]. Journal of Chongqing Medical University (4).(1997) DOI：

摘要

本文对４８４例高危妊娠病人行多普勒测定脐动脉血流速度收缩期与舒张期的比值（Ｓ／Ｄ），无负荷试验（ＮＳＴ）产的监护，监护异常者１７８例。Ｓ／Ｄ异常组（１１１例）中ＣＳＴ异常的发生率（４１．４％）高于ＮＳＴ异常组（２６．２％）（Ｐ＜０．０５）；而新生儿１和５ｍｉｎＡｐｇａｒ低分的发生卒ＮＳＴ异常组较高（Ｐ＜０．０５）。在Ｓ／Ｄ异常同时伴有ＮＳＴ异常组（２５例）中。ＣＳＴ异常、Ａｐｇａｒｌ和５ｍｉｎ低分的发生率最高（Ｐ＜０．００１）。临床胎儿窘迫和分娩时羊水胎粪污染的发生率在监护异常的三组中无差异（Ｐ＞０．０５）。结果提示，应用脐动脉血流速度监护力这能较早地提供胎儿宫内危险信号。

Abstract

ln 484 cases of high risk pregnancy

the systolic and diastolic ratios (S/D) of umbilical arterial blood flow were measured with Doppler ultrasound. Non - atress tests (NST) were carried out sumultaneously. Abnormal results were found in 178 cases. The incidence of abnormal CST in abnormal S/D group (111 case.) was 41.4%

which was significantly higher than that (26.2 % ) of ubnormal NST gruup (42 cases) P< 0.05 However

the incidence of low Apgar scores (< 7) at one and five minutes was higher in the abnormal NST group than that with abnormal S/D group. P<0.05. The incidence of abnormal CST reaults and low Apgar scores at one and five minutes was highest in those (25 patients) with both abnormal S/D and abnormsl NST.P<0.001. The incidence of fetal distress or amniotic fluid stained with meconium at delivery has no difference among all these groups P>0.05. The results show that prenatal monitoring with umbilical artery velocity waveform could provide an early signal of fetal compromise.

关键词

超声诊断动脉血流电子监护围产期妊娠

Keywords

ultrasonic diagnosisArtery bloodElectronic monit oringperinatal periodpregnancy

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Related Author

Gao Bin

Sun Fei

Li Junnan

Xing Dingxiang

Huang Jun

张元贞

刘维超

邹建中

Related Institution

Department of Endocrinology，Second Affiliated Hospital of Air Force Medical University

Department of Obstetrics，The First Affiliated Hospital of Chongqing Medical University

重庆医科大学第二临床学院妇产科副教授

重庆医科大学第二临床学院妇产科

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